Meeting Registration and Update Form

This form is intended for new or existing CoDA groups to register their information with us. Individuals wishing to attend a meeting DO NOT need to register and/or complete this form.

Co-Dependents Anonymous Canada

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Check Registration Type*
- Register a New Meeting
- Update an Existing Meeting
Group Name*
Group Number (if updating)
Day*
Time*
Other Group Information
Meeting Type*
- Open
- Closed (Identifying as Co-Dependent)
- Men
- Women
- Step
- Topic
- Online
- Book Study
- Gay
- Lesbian
- LGBTQ
Other (Please specify)

NOTE: If this is an Online Meeting please provide the Meeting URL in this box.

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Meeting Location / Building Name*

NOTE: If this is an Online Meeting please indicate the meeting platform (ex. Zoom)
Language Spoken
Meeting Address
Street Address Address Line 2 City Province Postal Code

Note: If this is an Online Meeting please complete the "City" and "Province" only
Original Startup Date
MM slash DD slash YYYY
Approx. # attending

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Mail Contact Information
Name
First Last Initial
Address
Street Address Address Line 2 City Province Postal Code Country

For the purpose of sending a New Meeting Starter Package
Meeting Contact Person #1
- I am a contact
Check this box of you wish to be a phone or email contact.
Name
First Last Initial
Phone
Email
Meeting Contact Person #2
- I am a contact
Check this box of you wish to be a phone or email contact.
Name
First Last Initial
Phone
Email
End of Registration Form
Comments
This field is for validation purposes and should be left unchanged.

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Phone inquiries are 10am-9pm EASTERN English/Français

1-604-239-1042

Co-Dependents Anonymous Canada

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Mail Contact Information

End of Registration Form